Individual provider Active NPI

Devanand Jillapalli, MD

  • Neurology Physician
  • Bethesda, MD
National Provider Identifier
1740720432
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
210589-1 Issued in NY
Practice address
10 Center Dr
Building 10 CRC Room 7-5680
Bethesda, MD 20892-1404
Phone
(301) 496-7428
NPI assigned
Mar 1, 2017
Last updated
Mar 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 210589-1 NY Primary
Clinical Neurophysiology Physician 2084N0600X 210589-1 NY
Electrodiagnostic Medicine Physician 204R00000X 210589-1 NY

Addresses

Primary practice location

10 Center Dr
Building 10 CRC Room 7-5680
Bethesda, MD 20892-1404

Mailing address

10 Center Dr
Building 10 CRC Room 7-5680
Bethesda, MD 20892-1404
Phone (301) 496-7428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
210589-1NYMDElectrodiagnostic Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1740720432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTER DR",
            "address_2": "BUILDING 10 CRC ROOM 7-5680",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921404",
            "telephone_number": "301-496-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DR",
            "address_2": "BUILDING 10 CRC ROOM 7-5680",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921404",
            "telephone_number": "301-496-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JILLAPALLI",
        "first_name": "DEVANAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "210589-1",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "210589-1",
            "primary": false
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "NY",
            "license": "210589-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.